ATIPICAL PRESENTATION IN ENDOMETRISOSIS-CASE REPORT

Mara Ieşanu; S. Păsărică; Romina Sima; D.C. Badiu; Liliana Pleș

doi:10.33695/jss.v4i4.215

Mara Ieşanu The “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
S. Păsărică The “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Romina Sima The “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania & “St. John” Hospital, “Bucur” Maternity, Bucharest, Romania
D.C. Badiu The “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania & Departament of Surgery “Bagdasar-Arsenie” Hospital, Bucharest, Romania
Liliana Pleș The “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania & “St. John” Hospital, “Bucur” Maternity, Bucharest, Romania

DOI: https://doi.org/10.33695/jss.v4i4.215

Keywords: endometriosis, adenomyosis, infertility, pelvic pain, transvaginal ultrasound

Abstract

Endometriosis is a condition that affects 5-10% women of reproductive age and is characterized by abnormal growth of endometrial cells outside the uterus. Most commonly it involves the ovaries, fallopian tubes and the tissue lining the pelvis and rarely, endometrial tissue may spread beyond pelvic organs. We report a case of a 43-year-old female patient admitted to hospital for a routine gynecological clinical examination. Regarding her personal and family medical history no important pathology was associated. Clinical examination revealed a normal uterus with a 10 cm tumoral mass on the right side. The transvaginal sonography showed a mass with a negative ecogenity, well delimited, with 92 mm in diameter. A diagnosis of right ovarian tumor was established. Using exploratory laparoscopy, the adnexal tumoral mass was confirmed and because the tumor didn’t have definite signs of benignity, the intervention was converted into laparotomy. Due to massive hemorrhage the patient underwent abdominal hysterectomy with bilateral salpingo-oophorectomy. The postoperative evolution was favorable, and the histological examination confirmed the ovarian endometriosis and adenomyosis.